Exhibit A
San Mateo County Public Health Clinic Fees Schedule
Fee* | |
Hepatitis A |
$53.00 |
Hepatitis B – Recombivax |
$93.00 |
Hepatitis B – Engerix–B |
$59.00 |
Combined Hepatitis A/B (Twinrix) |
$75.00 |
Influenza |
$35.00 |
HPV Vaccine |
$162.00 |
Meningococcal Meningitis |
$131.00 |
Mumps, Measles, Rubella |
$82.00 |
Polio |
$62.00 |
Pneumococcal pnuemonia |
$71.00 |
Tetanus: Tdap |
$71.00 |
Tetanus: Td |
$52.00 |
Varicella |
$113.00 |
Shingles (Zostavax) |
$189.00 |
Skin Tests |
Fee* |
Tuberculosis skin testing |
$35.00 |
2-Step Tuberculosis skin testing |
$49.00 |
Blood Draws and PH Lab fees |
Fee* |
Mumps, Measles, Rubella immunity panel |
$85.00 |
Measles (only) immunity |
$50.00 |
Mumps (only) immunity |
$50.00 |
Rubella (only) immunity |
$50.00 |
Hepatitis B Infection Panel (HBsAg, HBsAb, HBcAB) |
$95.00 |
Hepatitis B Immunity (HBsAb only) |
$50.00 |
Varicella immunity |
$50.00 |
TB blood test (Quanterferon Gold) |
$75.00 |
Syphilis (EIA) |
$45.00 |
RPR Quantitative (Positive Syphilis) |
$5.00 |
TPPA Syphilis Confirmation |
$15.00 |
HCV (EIA) |
$53.00 |
Herpes (PCR) |
$115.00 |
Herpesvirus Type 1 (serology) |
$50.00 |
Herpesvirus Type 2 (serology) |
$55.00 |
Children (under 18) Vaccine |
Fee* |
Hepatitis A |
$35.00 |
Hepatitis B (Recombivax or Engerix B) |
$35.00 |
Combined Hepatitis A/B (Twinrix) |
$35.00 |
Influenza |
$35.00 |
HPV Vaccine |
$35.00 |
Meningococcal Meningitis |
$35.00 |
Mumps, Measles, Rubella |
$35.00 |
Polio |
$35.00 |
Pneumococcal pnuemonia |
$35.00 |
Tetanus: Tdap |
$35.00 |
Tetanus: Td |
$35.00 |
Varicella |
$35.00 |
Shingles (Zostavax) |
$35.00 |
Fee* | |
Clinic Visit |
$25.00 |
Fee* | |
Physical Exam |
$60.00 |
Note: No charge for health screenings, i.e. blood pressure checks, diabetes tests, pregnancy tests, WIC hemoglobin checks | |
Note: Well/ACE Program members pay Program co-pay only | |
*Fees may be waived for any person who meets the eligibility criteria under the Federal Health Care for the Homeless Program (HCH) and/or for persons clinically determined to be at risk for transmitting an STD to others. | |
If vaccines are received by the County from the State for free, a vaccine administration fee of $35 will apply. There will no charge for the vaccine. | |
The County Health Officer may waive fees for any clinic services when it is in the best interest of the public’s health, for example in outbreak situations, or in communicable disease investigations. |